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1336578111
AMANDA MONDRAGON
ALBUQUERQUE, NM
NPI
1336578111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2013-0068)
Enumeration Date
2013-11-02
Last Update Date
2017-03-22
Business Address
AMANDA MONDRAGON
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2719
Phone number: 505-272-2111
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Mailing Address
AMANDA MONDRAGON
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-3120
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